Nick A Agpalo in Los Angeles - General Practice

Nick A Agpalo - NPI 1659492171

Nick A Agpalo is a General Practice in Los Angeles, California. Nick A Agpalo practices all healthcare services and medical treatments related to General Practice. The NPI Number for Nick A Agpalo is 1659492171. The last update date is 2007-07-08.

Nick A Agpalo's current location address is 4210 Eagle Rock Blvd, Los Angeles, California. You can contact this provider via phone number 3235508341. The mailing address for Nick A Agpalo is 4210 Eagle Rock Blvd, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Nick A Agpalo
Address 4210 Eagle Rock Blvd, Los Angeles, California
Phone Number 3235508341
Fax Number
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1659492171
Provider Enumeration Date 2007-04-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4210 Eagle Rock Blvd
City Los Angeles
State California (CA)
Post Code 900654405
Phone Number 3235508341
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No D32257
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
D32257 CA DENTAL LICENSE

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FAQs about Nick A Agpalo

What is the unique identification code assigned to Nick A Agpalo by the Centers for Medicare & Medicaid Services?

The Nick A Agpalo has been issued the NPI (National Provider Identifier) 1659492171. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Nick A Agpalo is physically located?

The Nick A Agpalo is physically situated at the following address: 4210 Eagle Rock Blvd, Los Angeles, CA, 900654405.

What is Nick A Agpalo's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Nick A Agpalo is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1659492171 to Nick A Agpalo?

The Nick A Agpalo received its 1659492171 assignment from the Centers for Medicare & Medicaid Services on 2007-04-02.

When was the information regarding Nick A Agpalo most recently updated?

The details pertaining to the Nick A Agpalo, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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